Medical Waiver

I. Introduction

This Medical Waiver Agreement ("Agreement") is entered into by and between [PARTICIPANT NAME] ("Participant") and [YOUR COMPANY NAME], located at [YOUR COMPANY ADDRESS] ("Company"). By signing this agreement, the Participant acknowledges and consents to the terms and conditions outlined below in relation to the medical procedure or treatment specified.

II. Acknowledgment of Risks

The Participant acknowledges that they have been fully informed of the inherent risks associated with the medical procedures or treatments that will be performed by the Company. These risks include, but are not limited to, pain, injury, infection, or other complications that could lead to more severe health issues. The Participant affirms that their consent is given with full knowledge of these risks.

III. Voluntary Participation

Participation in the medical procedure or treatment is entirely voluntary. The Participant confirms that they have decided to undergo the procedure provided by [YOUR COMPANY NAME]after considering all the potential risks and benefits. The decision to proceed is made freely without any force, coercion, or undue influence.

IV. Informed Consent

The Participant states that the medical professionals of [YOUR COMPANY NAME]have provided comprehensive explanations regarding the procedures, associated risks, expected benefits, and available alternatives. The Participant has had the opportunity to ask questions, and all inquiries have been satisfactorily answered.

V. Release and Liability Waiver

The Participant agrees to release and forever discharge [YOUR COMPANY NAME], its affiliates, officers, directors, employees, and agents from any claims, demands, or causes of action that are in any way connected with the Participant’s medical treatment or services received, except for those arising out of the gross negligence or willful misconduct of the Company.

VI. Emergency Treatment Consent

In the event of an unexpected medical emergency during the course of treatment, the Participant permits [YOUR COMPANY NAME] to administer emergency medical care or arrange for such care at a nearby healthcare facility. The Participant agrees to bear the costs associated with any emergency treatments required.

VII. Entire Agreement

This Agreement contains the full understanding between the Participant and [YOUR COMPANY NAME] and supersedes all prior agreements and understandings whether written or oral pertaining to the subject matter hereof.

VIII. Acceptance and Signatures

By signing below, the Participant acknowledges that they have read, understood, and agree to the terms and conditions of this Medical Waiver Agreement.

Participant Name: _____________________

Date: _______________

Authorized Signature

Date: _______________